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Suppression of Pro-fibrotic Signaling Potentiates Factor-mediated Reprogramming of Mouse Embryonic Fibroblasts into Induced Cardiomyocytes
Published on: June 3, 2018
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Fibroblast-Derived Microfibrillar-Associated Protein 5 Exerts Cardioprotective Effects After Myocardial Infarction by
Jiuqi Guo1, Zhilin Gu1, Mingzhi Lin1
1Department of Cardiology The First Hospital of China Medical University Shenyang China.
Journal of the American Heart Association
|February 24, 2026
Summary
Microfibrillar-associated protein 5 (MFAP5), produced by cardiac fibroblasts, protects the heart after myocardial infarction (MI) by inhibiting cardiomyocyte apoptosis via NOTCH2 signaling.
Area of Science:
- Cardiovascular Biology
- Extracellular Matrix Research
- Cellular Signaling
Background:
- Myocardial infarction (MI) is a leading global cause of death.
- The role of microfibrillar-associated protein 5 (MFAP5) in cardiac function was previously unknown.
- This study investigated MFAP5's origin, expression, function, and mechanisms in MI.
Purpose of the Study:
- To determine the source and expression patterns of MFAP5 in the context of MI.
- To elucidate the functional role of MFAP5 in myocardial infarction.
- To uncover the molecular mechanisms by which MFAP5 influences cardiac cells during MI.
Main Methods:
- Single-cell analysis and immunohistochemistry for MFAP5 localization.
- MFAP5 knockout and cardiac fibroblast-specific overexpression mouse models.
- RNA sequencing, ingenuity pathway analysis, coimmunoprecipitation, and in vitro assays.
Main Results:
- MFAP5 expression is upregulated in human and mouse hearts during MI, originating from activated cardiac fibroblasts.
- MFAP5 deficiency worsened cardiac dysfunction and apoptosis post-MI, while fibroblast-specific overexpression was protective.
- MFAP5 inhibited cardiomyocyte apoptosis in vitro by activating NOTCH2 signaling.
Conclusions:
- Fibroblast-derived MFAP5 plays a crucial cardioprotective role following myocardial infarction.
- MFAP5 interacts with cardiomyocyte NOTCH2 receptors to prevent apoptosis.
- Targeting MFAP5 may offer a therapeutic strategy for MI recovery.

